NPI 1114201399

Our Lady of Lake Ascension, LLC

Organisation Health Educator Gonzales, LA

Practice location

Address: 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021
Phone: (225) 647-8511

Authorised official

Name: John Frederick Fraiche
Title: President
Phone: (225) 647-8511

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

Other Health Educator providers in Louisiana →

Registry record

NPI: 1114201399
Entity type: Organization
NPI issued: 5 Oct 2011
Record last updated: 5 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.